CCRN-Pediatric Dump File, Valid Braindumps CCRN-Pediatric Free
CCRN-Pediatric Dump File, Valid Braindumps CCRN-Pediatric Free
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AACN Critical Care Nursing Exam Sample Questions (Q20-Q25):
NEW QUESTION # 20
A medical team recommends a tracheostomy for an infant with spinal muscular atrophy. The parent states, "I just want to make sure my child has the best life." The nurse should:
- A. Provide education about the procedure
- B. Obtain a palliative care consult
- C. Notify the medical team
- D. Offer reassurance to the parent
Answer: B
Explanation:
This statement reflectsemotional and existential distressrather than a purely educational need. Apalliative care consultis appropriate to provideholistic support,clarify goals of care, and ensure that the family's values and quality-of-life concerns are addressed within a multidisciplinary approach.
"Palliative care is appropriate when families face complex, life-altering decisions. It supports communication, decision-making, and emotional well-being alongside curative or life-sustaining treatments." (Referenced from CCRN Pediatric - Professional Caring and Ethical Practice: Palliative Care and Family- Centered Decision-Making)
NEW QUESTION # 21
For a 20-kg child experiencing abdominal hemorrhaging, a nurse should expect to administer a fluid bolus of:
- A. 500 mL of 5% albumin
- B. 200 mL of lactated Ringer's
- C. 600 mL of PRBCs
- D. 400 mL of 0.9% NS
Answer: D
Explanation:
In pediatric hemorrhagic shock, theinitial fluid bolus is 20 mL/kgofisotonic crystalloid(e.g.,normal saline or lactated Ringer's). For a 20-kg child, this equals400 mL of 0.9% NS. Albumin and PRBCs are considered after fluid responsiveness is evaluated or if ongoing blood loss is confirmed.
"The initial step in pediatric fluid resuscitation for hemorrhagic or hypovolemic shock is 20 mL/kg isotonic fluid bolus. Normal saline is the preferred initial fluid." (Referenced from CCRN Pediatric - Direct Care: Multisystem, Shock Management)
NEW QUESTION # 22
Tammy, a 4-year-old child, has cystic fibrosis. Her mother is concerned and said that her child can no longer join the American Idol because of repeated infection. The nurse is aware that repeated infection could lead to:
- A. increased irritability and perspiration
- B. poor academic and extra-curricular activities
- C. bone marrow depression
- D. type 1 diabetes development
Answer: D
Explanation:
Explanation: The nurse is aware that repeated infection could lead to Type 1 Diabetes development.
Repeated infection in a child with cystic fibrosis, over time, influences the development of insulin resistance.
NEW QUESTION # 23
The nurse notes that a 10-month-old infant had a fever, runny nose, cough, and white spots in the mouth for almost 3 days. Rash started on his face and spread to the whole body. The nurse suspected a case of:
- A. Varicella
- B. Herpes
- C. Rubella
- D. Rubella
Answer: C
Explanation:
Explanation: Signs and symptoms of Rubella include Koplik's spots and rash accompanied by coryza.
NEW QUESTION # 24
Proper documentation is one role of a nurse. How would a nurse document a clonic episode in a pediatric client with seizure disorder:
- A. tremors of the extremities.
- B. a loss of consciousness
- C. is spasmodic jerking of the entire body.
- D. a generalized rigidity
Answer: C
Explanation:
Explanation: Usually, a clonic episode leads to spasmodic jerking of the entire body. Clonus is a rapid rhythmic extension and relaxation of groups of muscles throughout the body. During tonic phase, generalized rigidity happens.
NEW QUESTION # 25
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